Neuraminidase Inhibitors For Treatment of Influenza
Acad Emerg Med. 2021 Feb 26. doi: 10.1111/acem.14241. Online ahead of print.ABSTRACTNeuraminidase inhibitors (NAIs) are commonly used in the prevention and treatment of influenza. Previous studies and reviews have demonstrated a questionable and modest benefit of their use while demonstrating potential adverse effects.1,2.PMID:33635574 | DOI:10.1111/acem.14241 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 26, 2021 Category: Emergency Medicine Authors: Marc Zwillenberg Eric Tang Joshua Quaas Source Type: research

Additional risk factors for evaluation of suspected Acute Aortic Syndromes in the Emergency Department
Acad Emerg Med. 2021 Feb 22. doi: 10.1111/acem.14238. Online ahead of print.ABSTRACTIn patients with suspected acute aortic syndrome (AAS), standardized clinical risk assessment following the American Heart Association (AHA) and European Society of Cardiology (ESC) recommendations, is based on twelve risk-markers summarized in the aortic dissection detection (ADD) risk score (1, 2). However, additional risk factors and conditions have been associated with AASs. These include autoimmune diseases, immunosuppressive or glucocorticoid treatment, and use of fluoroquinolones (3-5).PMID:33615600 | DOI:10.1111/acem.14238 (Source: ...
Source: Accident and Emergency Nursing - February 22, 2021 Category: Emergency Medicine Authors: Peiman Nazerian Giovanni Ascione Matteo Castelli Elisa Capretti Francesco Ranaldi Lorella Bonaccorsi Ugo Santosuosso Stefano Grifoni Fulvio Morello Source Type: research

Direct access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: results of a randomized controlled trial
CONCLUSION: Patients presenting with a MSKD to the ED with direct access to a physiotherapist had better clinical outcomes and used less services and resources than those in the usual care group after ED discharge and up to 3 months after discharge.PMID:33617696 | DOI:10.1111/acem.14237 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 22, 2021 Category: Emergency Medicine Authors: Rose Gagnon Kadija Perreault Simon Berthelot Eveline Matifat Fran çois Desmeules Bertrand Achou Marie-Christine Laroche Catherine Van Neste St éphane Tremblay Jean Leblond Luc J H ébert Source Type: research

Additional risk factors for evaluation of suspected Acute Aortic Syndromes in the Emergency Department
Acad Emerg Med. 2021 Feb 22. doi: 10.1111/acem.14238. Online ahead of print.ABSTRACTIn patients with suspected acute aortic syndrome (AAS), standardized clinical risk assessment following the American Heart Association (AHA) and European Society of Cardiology (ESC) recommendations, is based on twelve risk-markers summarized in the aortic dissection detection (ADD) risk score (1, 2). However, additional risk factors and conditions have been associated with AASs. These include autoimmune diseases, immunosuppressive or glucocorticoid treatment, and use of fluoroquinolones (3-5).PMID:33615600 | DOI:10.1111/acem.14238 (Source: ...
Source: Accident and Emergency Nursing - February 22, 2021 Category: Emergency Medicine Authors: Peiman Nazerian Giovanni Ascione Matteo Castelli Elisa Capretti Francesco Ranaldi Lorella Bonaccorsi Ugo Santosuosso Stefano Grifoni Fulvio Morello Source Type: research

Direct access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: results of a randomized controlled trial
CONCLUSION: Patients presenting with a MSKD to the ED with direct access to a physiotherapist had better clinical outcomes and used less services and resources than those in the usual care group after ED discharge and up to 3 months after discharge.PMID:33617696 | DOI:10.1111/acem.14237 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 22, 2021 Category: Emergency Medicine Authors: Rose Gagnon Kadija Perreault Simon Berthelot Eveline Matifat Fran çois Desmeules Bertrand Achou Marie-Christine Laroche Catherine Van Neste St éphane Tremblay Jean Leblond Luc J H ébert Source Type: research

Additional risk factors for evaluation of suspected Acute Aortic Syndromes in the Emergency Department
Acad Emerg Med. 2021 Feb 22. doi: 10.1111/acem.14238. Online ahead of print.ABSTRACTIn patients with suspected acute aortic syndrome (AAS), standardized clinical risk assessment following the American Heart Association (AHA) and European Society of Cardiology (ESC) recommendations, is based on twelve risk-markers summarized in the aortic dissection detection (ADD) risk score (1, 2). However, additional risk factors and conditions have been associated with AASs. These include autoimmune diseases, immunosuppressive or glucocorticoid treatment, and use of fluoroquinolones (3-5).PMID:33615600 | DOI:10.1111/acem.14238 (Source: ...
Source: Accident and Emergency Nursing - February 22, 2021 Category: Emergency Medicine Authors: Peiman Nazerian Giovanni Ascione Matteo Castelli Elisa Capretti Francesco Ranaldi Lorella Bonaccorsi Ugo Santosuosso Stefano Grifoni Fulvio Morello Source Type: research

Direct access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: results of a randomized controlled trial
CONCLUSION: Patients presenting with a MSKD to the ED with direct access to a physiotherapist had better clinical outcomes and used less services and resources than those in the usual care group after ED discharge and up to 3 months after discharge.PMID:33617696 | DOI:10.1111/acem.14237 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 22, 2021 Category: Emergency Medicine Authors: Rose Gagnon Kadija Perreault Simon Berthelot Eveline Matifat Fran çois Desmeules Bertrand Achou Marie-Christine Laroche Catherine Van Neste St éphane Tremblay Jean Leblond Luc J H ébert Source Type: research

Vaccination Rates and Acceptance of SARS-CoV-2 Vaccination Among US Emergency Department Health Care Personnel
The objective of this report is to describe differences in vaccination rates among various types of ED HCP at US academic medical centers and reasons for declining vaccination. We hypothesized that groups of ED HCP with differences in workplace risks might view the benefits of vaccine differently and that vaccine hesitancy would higher in people of color.PMID:33608937 | DOI:10.1111/acem.14236 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 20, 2021 Category: Emergency Medicine Authors: Walter A Schrading Stacy A Trent James H Paxton Robert M Rodriguez Morgan B Swanson Nicholas M Mohr David A Talan Project COVERED Emergency Department Network Source Type: research

Early Head to Pelvis Computed Tomography in Out-of-Hospital Circulatory Arrest Without Obvious Etiology
CONCLUSIONS: This observational cohort study suggests that early SDCT scanning is safe, can expedite the diagnosis of potential causes, and can meaningfully change clinical management after idiopathic OHCA.PMID:33606342 | DOI:10.1111/acem.14228 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 19, 2021 Category: Emergency Medicine Authors: Kelley R H Branch Jared Strote Martin Gunn Charles Maynard Peter J Kudenchuk Robin Brusen Bradley J Petek Michael R Sayre Rachael Edwards David Carlbom Catherine Counts Jeffrey L Probstfield Medley O Gatewood Source Type: research

Vaccination Rates and Acceptance of SARS-CoV-2 Vaccination Among US Emergency Department Health Care Personnel.
The objective of this report is to describe differences in vaccination rates among various types of ED HCP at US academic medical centers and reasons for declining vaccination. We hypothesized that groups of ED HCP with differences in workplace risks might view the benefits of vaccine differently and that vaccine hesitancy would higher in people of color. PMID: 33608937 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 19, 2021 Category: Emergency Medicine Authors: Schrading WA, Trent SA, Paxton JH, Rodriguez RM, Swanson MB, Mohr NM, Talan DA, Project COVERED Emergency Department Network Tags: Acad Emerg Med Source Type: research

Early Head to Pelvis Computed Tomography in Out-of-Hospital Circulatory Arrest Without Obvious Etiology.
CONCLUSIONS: This observational cohort study suggests that early SDCT scanning is safe, can expedite the diagnosis of potential causes, and can meaningfully change clinical management after idiopathic OHCA. PMID: 33606342 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 19, 2021 Category: Emergency Medicine Authors: Branch KRH, Strote J, Gunn M, Maynard C, Kudenchuk PJ, Brusen R, Petek BJ, Sayre MR, Edwards R, Carlbom D, Counts C, Probstfield JL, Gatewood MO Tags: Acad Emerg Med Source Type: research

Comparison of Cost and Resource Utilization between Firearm Injuries and Motor Vehicle Collisions at Pediatric Hospitals.
CONCLUSIONS: Hospital costs and markers of resource utilization were higher for youths with firearm injury compared to MVC. High medical resource utilization is one of several important reasons to advocate for a comparable national focus and funding on firearm-related injury prevention. PMID: 33599028 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 18, 2021 Category: Emergency Medicine Authors: Fraser Doh K, Sheline E, Wetzel M, Simon HK, Morris CR Tags: Acad Emerg Med Source Type: research

Established evidence-based treatment guidelines help mitigate disparities in quality of emergency care.
CONCLUSIONS: Long-standing, nationally reported evidence-based guidelines can help eliminate sex and race/ethnicity disparities in quality of care. When providers know their care is being monitored and reported, their implicit biases may be less likely to impact care. PMID: 33599040 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 18, 2021 Category: Emergency Medicine Authors: Trent SA, George N, Havranek EP, Ginde AA, Haukoos JS Tags: Acad Emerg Med Source Type: research

Invited Commentary: A randomized trial comparing prescribed light exercise to standard management for emergency department patients with acute mild TBI.
Abstract Persistent post-concussion symptoms (PCS) after a mild traumatic brain injury (mTBI) or concussion do not occur in the majority of patients sustaining such injuries, but when they do occur, they have significant functional consequences for patients. Delays in return to school, work, recreational, and social activities can deeply impact quality of life and have major long-term negative life consequences that are anything but mild, despite the classification of the initial injury. Predictive abilities to determine which patients will suffer PCS are currently poor, although certain presentation characteristi...
Source: Accident and Emergency Nursing - February 16, 2021 Category: Emergency Medicine Authors: Timmons SD Tags: Acad Emerg Med Source Type: research

Diagnostic accuracy of physician's gestalt in suspected COVID-19. Prospective bicentric study.
Abstract OBJECTIVES: Physicians' gestalt is central in the diagnostic pipeline of suspected COVID-19, due to the absence of a single tool allowing conclusive rule in or out. The aim of this study was to estimate the diagnostic test characteristics of physician's gestalt for COVID-19 in the ED, based on clinical findings or on a combination of clinical findings and bedside imaging results. METHODS: From 1st to 30th of April 2020, patients with suspected COVID-19 were prospectively enrolled in two EDs. Physicians prospectively dichotomized patients in COVID-19 likely or unlikely twice: after medical evaluation ...
Source: Accident and Emergency Nursing - February 12, 2021 Category: Emergency Medicine Authors: Nazerian P, Morello F, Prota A, Betti L, Lupia E, Apruzzese L, Oddi M, Grosso F, Grifoni S, Pivetta E, ED COVID-19 Investigators Tags: Acad Emerg Med Source Type: research

Hot off the Press: LOOP technique versus drainage and packing in ED abscess management.
Abstract Historically, cutaneous abscesses have been managed with incision and drainage involving packing with ribbon gauze. However actual practice patterns vary widely and the less invasive loop drainage technique has been popularized. We discuss a randomized controlled study by Ladde et al published in Academic Emergency Medicine, December 2020, comparing insertion of a vessel loop through the abscess with standard packing. We provide critical analysis and summarize social media discussion about the article. PMID: 33576543 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 12, 2021 Category: Emergency Medicine Authors: Challen K, Bond C, Westafer L, Heitz C, Milne WK Tags: Acad Emerg Med Source Type: research

An RCT of oxycodone/ acetaminophen versus acetaminophen alone for emergency department patients with musculoskeletal pain refractory to ibuprofen.
CONCLUSION: Among patients with acute musculoskeletal pain refractory to oral ibuprofen, oxycodone/acetaminophen resulted in slightly greater pain relief than acetaminophen, but this was associated with more medication related adverse events. PMID: 33576545 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 12, 2021 Category: Emergency Medicine Authors: Friedman BW, Irizarry E, Feliciano C, Izzo AJ, Borrayes L, Restivo A, Costa V, Bijur PE Tags: Acad Emerg Med Source Type: research

Ankle-Brachial Index for Diagnosis of Arterial Injury in Penetrating Extremity Trauma.
Abstract Penetrating extremity trauma (PET) is a common cause of arterial injury in the United States. PET can result in amputation, wound infection, venous thromboembolism, need for surgical interventions such as fasciotomy, and death. The diagnosis of arterial injury in patients with PET has been the subject of debate with differing recommendations by professional society and major trauma guidelines (Table 1). PMID: 33560575 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 9, 2021 Category: Emergency Medicine Authors: Benabbas R, deSouza IS Tags: Acad Emerg Med Source Type: research

Antibiotics for culture-positive asymptomatic bacteriuria in pregnant women can prevent pyelonephritis.
Abstract Asymptomatic bacteriuria, occurring in 2-15% of pregnancies, is generally defined as at least one urine culture showing>100,000 colony-forming units (CFUs)/mL in the absence of fever or symptoms of urinary tract infection.1 Escherichia coli is the most commonly associated pathogen, comprising up to 80% of isolates. PMID: 33550633 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 7, 2021 Category: Emergency Medicine Authors: Kwofie K, Wolfson AB Tags: Acad Emerg Med Source Type: research

Evaluation of bedside sonography performed by emergency physicians to detect intussusception in children in the emergency department.
Abstract The aim of our study was to evaluate the test characteristics of POCUS performed by emergency physicians with varying levels of experience among children having undergone diagnostic radiology ultrasound for intussusception in a pediatric emergency department. (PED). PMID: 33548161 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 6, 2021 Category: Emergency Medicine Authors: Tonson la Tour A, Desjardins MP, Gravel J Tags: Acad Emerg Med Source Type: research

Effect of multimodal interventions on peripheral intravenous catheter associated Staphylococcus aureus bacteraemia and insertion rates: An interrupted time series analysis.
Abstract Hospital-acquired Staphylococcus aureus bacteremia (SAB) is a significant cause of morbidity and mortality worldwide.1 Serious clinical outcomes (e.g. septic shock, localized infection, and infective endocarditis) contribute to the healthcare burden at the individual, health service and national level.2,3. PMID: 33529465 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 2, 2021 Category: Emergency Medicine Authors: Bhatt CR, Meek R, Martin C, Stuart RL, Lim Z, Bumpstead S, Egerton-Warburton D Tags: Acad Emerg Med Source Type: research

Compression therapy for post-thrombotic syndrome.
This article discusses two Cochrane reviews evaluating prevention and treatment of PTS.5,8. PMID: 33527598 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 1, 2021 Category: Emergency Medicine Authors: Long B, Gottlieb M, Long B Tags: Acad Emerg Med Source Type: research

Virtual Grand Rounds in COVID-19: a financial analysis.
Abstract Grand Rounds (GR) lectures are formal educational initiatives that are at the core of most academic clinical departments.1,2 GR have evolved over its commemorative beginnings, shifting away from real-time clinical skills demonstration to the now familiar, lecture-based format.2 Today, GR represent prestigious academic speaking opportunities for thought leaders to discuss topics intended to broaden the medical knowledge at an institution. Despite being considered a cornerstone of education in most training programs, GR have recently come under scrutiny for their dwindling educational efficacy, poor attenda...
Source: Accident and Emergency Nursing - February 1, 2021 Category: Emergency Medicine Authors: Crossman M, Papanagnou D, Sullivan T, Zhang XC Tags: Acad Emerg Med Source Type: research

Here to chair: Gender differences in the path to leadership.
Abstract The progress of women professionals across all sectors including academia in the past several decades has resulted in few reaching the highest echelons of leadership.1 Since the early 1990s, women have made up greater than 40% of United States (U.S.) medical school classes, yet are less likely to become full professors or hold senior leadership positions as compared to men.2. PMID: 33511736 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 29, 2021 Category: Emergency Medicine Authors: Sethuraman KN, Lin M, Rounds K, Fang A, Lall MD, Parsons M, Linden JA, Gursahani K, Raukar N, Perman SM, Dobiesz VA Tags: Acad Emerg Med Source Type: research

Topical Pain Control for Corneal Abrasions: A Systematic Review and Meta-Analysis.
CONCLUSIONS: There was strong evidence to support that topical NSAIDs reduce pain associated with corneal abrasions in the first 48 hours and the need for oral analgesia. The existing evidence was insufficient to support or refute the use of topical anesthetics, cycloplegics, steroids, or BCL for pain control in corneal abrasions. Pressure patching was ineffective at pain reduction and may increase the risk of complications. Delays in healing or other complications were not significantly different between any intervention or control for simple, uncomplicated corneal abrasions; however, larger RCTs are required to identify ...
Source: Accident and Emergency Nursing - January 28, 2021 Category: Emergency Medicine Authors: Yu CW, Kirubarajan A, Yau M, Armstrong D, Johnson DE Tags: Acad Emerg Med Source Type: research

Burnout among Healthcare Providers of COVID-19; a Systematic Review of Epidemiology and Recommendations.
Conclusion: Paying attention to the mental health issues, reducing the workload of HCPs through adjusting their work shifts, reducing job-related stressors, and creating a healthy work environment may prevent or reduce the burnout. PMID: 33490964 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 26, 2021 Category: Emergency Medicine Authors: Sharifi M, Asadi-Pooya AA, Mousavi-Roknabadi RS Tags: Arch Acad Emerg Med Source Type: research

Baseline Characteristics and Outcomes of Patients with Head and Neck Burn Injuries; a Cross-Sectional Study of 2181 Cases.
This study aimed to evaluate the baseline characteristics and outcomes of patients with head and neck burn. Methods: In this retrospective cross-sectional study, the medical profiles of patients with head and neck burn referring to a burn care center during 2 years were reviewed and analyzed regarding the baseline characteristics and outcomes of participants. Results: 392 (17.97%) cases suffered from head and neck burns. The mean burn percentage of participants was 29.31 ± 24.78, and 126 (32.14%) cases required tracheal intubation. There was a direct correlation between length of hospital stay and the degree of burn (p
Source: Accident and Emergency Nursing - January 26, 2021 Category: Emergency Medicine Authors: Haddadi S, Parvizi A, Niknama R, Nemati S, Farzan R, Kazemnejad E Tags: Arch Acad Emerg Med Source Type: research

Discrepancy in Screening Performances of Different Rapid Test Kits for SARS-CoV-2; a Letter to Editor.
PMID: 33490966 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 26, 2021 Category: Emergency Medicine Authors: Cheah PK, Ongkili DF, Zaharuddin FS, Hashim MI, Ho CV, Lee HG, Cheah PK Tags: Arch Acad Emerg Med Source Type: research

Electrocardiography in Early Diagnosis of Cardiovascular Complications of COVID-19; a Systematic Literature Review.
Conclusion: It is recommended to use ECG as a valuable diagnostic and prognostic tool for cardiac evaluation of patients with COVID-19. PMID: 33490967 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 26, 2021 Category: Emergency Medicine Authors: Nemati R, Ganjoo M, Jadidi F, Tanha A, Baghbani R Tags: Arch Acad Emerg Med Source Type: research

Cardiologists' Knowledge and Perception towards American Heart Association Guidelines of Cardiopulmonary Resuscitation; a Letter to Editor.
PMID: 33490968 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 26, 2021 Category: Emergency Medicine Authors: Ali S, Zahid A, Jamal SZ, Khan ST, Lohana N, Ahmed R, Mehdi N Tags: Arch Acad Emerg Med Source Type: research

Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the Editor.
PMID: 33490969 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 26, 2021 Category: Emergency Medicine Authors: Vlastarakos PV, Chondrogiannis K Tags: Arch Acad Emerg Med Source Type: research

Emergency Medicine Physician Stressors, Concerns and Behavioral Changes during COVID-19: A Longitudinal Study.
CONCLUSIONS: While exposure to suspected COVID-19 patients was nearly universal, stress levels in EM physicians decreased with time. At both initial and follow up assessments, women were more likely to test positive on the PC-PTSD-5 screener compared to men. PMID: 33492755 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 25, 2021 Category: Emergency Medicine Authors: Baumann BM, Cooper RJ, Medak AJ, Lim S, Chinnock B, Frazier R, Roberts BW, Epel ES, Rodriguez RM Tags: Acad Emerg Med Source Type: research

Firework injuries before and after the Michigan Firework Safety Act.
Abstract Approximately 10,000 firework-related injuries were treated in US emergency departments in 2019.1 Although published reports use sources ranging from nationally representative datasets to single center censuses, patient demographic factors remain consistent. Patients are 70-90% male and approximately 50% are under the age of 20.1-4 Injuries are most common to the hands, face, and eyes and are most often burns and lacerations. Although most injuries are minor, 11% of patients require admission or transfer to a higher-level facility and critical care admissions and deaths do occur.1,2 Canner et al., using t...
Source: Accident and Emergency Nursing - January 23, 2021 Category: Emergency Medicine Authors: Shauver MJ, Chung KC Tags: Acad Emerg Med Source Type: research

SARS-CoV-2 viral load in nasopharyngeal swabs in the ED does not predict COVID-19 severity  and mortality.
CONCLUSION: Respiratory viral load measurement on the first nasopharyngeal swab (by RT-PCR) during initial ED management is neither a predictor of severity nor mortality in SARS-CoV-2 infection. Host response to this viral infection along with the extent of pre-existing co-morbidities might be more foretelling of disease severity than the virus itself. PMID: 33481307 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 22, 2021 Category: Emergency Medicine Authors: Le Borgne P, Solis M, Severac F, Merdji H, Ruch Y, Alamé K, Bayle E, Hansmann Y, Bilbault P, Fafi-Kremer S, Meziani F, CRICS TRIGGERSEP Group (Clinical Research in Intensive Care, Sepsis Trial Group for Global Evaluation, Research in Sepsis) Tags: Acad Emerg Med Source Type: research

A diagnostic evaluation of single screen testing for malaria in the returning traveller - a large retrospective cohort study.
CONCLUSIONS: A single thin film and rapid diagnostic test is likely to be sufficient as a first screen for falciparum malaria in the returning traveller with important caveats. For those sent home from Emergency Departments, appropriate safety-netting must be provided. Further prospective study is required to investigate this approach. PMID: 33481329 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 22, 2021 Category: Emergency Medicine Authors: Reynard C, Geary K, Chiodini P, Brereton M, Burthem J, McDermott J, van den Berg P, Body R Tags: Acad Emerg Med Source Type: research

A randomized trial comparing prescribed light exercise to standard management for emergency department patients with acute mild traumatic brain injury.
CONCLUSION: In this trial of prescribed early light exercise for acute mTBI, there were no differences in recovery or healthcare utilization outcomes. Results suggest early light exercise may be encouraged as tolerated at ED discharge following mTBI, but this guidance is not sufficient to prevent PCS. PMID: 33481332 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 22, 2021 Category: Emergency Medicine Authors: Varner CE, Thompson C, de Wit K, Borgundvaag B, Houston R, McLeod S Tags: Acad Emerg Med Source Type: research

Parent-Reported Hesitancy to seek emergency Care for Children at the Crest of the first Wave of COVID-19 in chicago.
Abstract The 2009 H1N1 pandemic and seasonal influenza outbreaks have, at times, overwhelmed capacity in children's hospitals.1 The COVID-19 pandemic is different. Relatively few children have become severely ill when infected with SARS-CoV-2.2 In four weeks from March to April 2020, the Centers for Disease Control and Prevention found 42% reduction in emergency department (ED) visits nationally compared with the prior year and noted the steepest decrease in visits was among children
Source: Accident and Emergency Nursing - January 21, 2021 Category: Emergency Medicine Authors: Macy ML, Smith TL, Cartland J, Golbeck E, Davis MM Tags: Acad Emerg Med Source Type: research

The Silver Linings of Covid19: uplifting Effects of the pandemic.
Abstract The COVID19 pandemic has lined our psyches with anxiety, uncertainty, and foreboding. Emergency physicians have co-existed with it for nearly a year and its tentacles have wrapped ever more tightly around us. Many in emergency medicine have experienced the negative and sometimes tragic consequences of COVID19 either in their work or in their own families. To balance the negativity surrounding COVID19, we postulate there may be some silver linings: positive consequences resulting from the pandemic that have stimulated changes in clinical medicine delivery and impacted physician wellbeing. Globally 1.8 mill...
Source: Accident and Emergency Nursing - January 19, 2021 Category: Emergency Medicine Authors: Jacobs B, Manfredi RA Tags: Acad Emerg Med Source Type: research

"I Am …".
"I Am…". Acad Emerg Med. 2021 Jan 19;: Authors: Morse K, Balhara K, Irvin N Abstract In the era of COVID-19, it has been challenging to feel connected to one another in meaningful ways. During these unprecedented times, we've had the chance to reflect upon ways we've created significant bonds with people in our lives, including residents, faculty and, patients. PMID: 33462942 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 19, 2021 Category: Emergency Medicine Authors: Morse K, Balhara K, Irvin N Tags: Acad Emerg Med Source Type: research

Self-obtained vaginal swabs are not inferior to provider-performed endocervical sampling for Emergency Department diagnosis of Neisseria gonorrhoeae and Chlamydia trachomatis.
CONCLUSION: SOVS are noninferior to PPES in NG/CT diagnosis using a rapid NAAT in ED patients and surveys indicate high patient acceptability. PMID: 33460481 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 18, 2021 Category: Emergency Medicine Authors: Chinnock B, Yore M, Mason J, Kremer M, Farshidpour L, Lopez D, Castaneda J Tags: Acad Emerg Med Source Type: research

Overcoming barriers to outpatient management of emergency department patients with acute pulmonary embolism.
Abstract We commend Westafer and colleagues for their study of home discharge of adults with acute pulmonary embolism (PE) from emergency departments (EDs) across 740 diverse U.S. acute care hospitals.1 They found that outpatient management of ED patients with acute PE in the United States in 2016-2018 was uncommon (4.1%). Among 568 hospitals in the study with 20 PE cases or more, the median proportion of home discharge from the ED was only 3.1% and ranged broadly from 0% to 13.0% at 10th and 90th percentiles. PMID: 33455024 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 16, 2021 Category: Emergency Medicine Authors: Vinson DR, Mark DG, Ballard DW Tags: Acad Emerg Med Source Type: research

Subcutaneous sumatriptans for acute migraine attacks in adults.
Abstract Migraines are common and most often described as painful pulsatile headaches with nausea and sensory sensitivities. Sumatriptan is one of many medications available for treatment of acute migraine attacks. PMID: 33426737 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 10, 2021 Category: Emergency Medicine Authors: Lim C, Singh M Tags: Acad Emerg Med Source Type: research

Smiles from Behind a Mask.
Abstract As I entered the emergency room bay, her scared eyes shouted silently. An elderly female in obvious distress, she was non-verbal except for head nods. No family accompanied her. As a medical student, I felt clinically powerless, but I knew I wanted to assist however possible. As an extrovert, it was natural for me to think in terms of a human connection. I navigated through the crowded room, hearing conversations of suspected infection, and positioned myself at the bedside. PMID: 33423345 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 10, 2021 Category: Emergency Medicine Authors: Rodoni BM, Fessell DP Tags: Acad Emerg Med Source Type: research

Fear of Discovery as a Deterrent to Undocumented Latinx Immigrants' Reporting of Crimes and the Effects of Political Rhetoric.
CONCLUSIONS: Fear of reporting crimes is common in ED patients. The most common fear in undocumented Latinx immigrants is fear of discovery and deportation. Political rhetoric against immigrants contributes to this fear. PMID: 33423357 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 10, 2021 Category: Emergency Medicine Authors: Rodriguez RM, Torres JR, Sun J, Anderson E Tags: Acad Emerg Med Source Type: research

Despair in the Time of covid, A look at suicidal Ingestions reported to the California Poison control System during pandemic.
CONCLUSIONS: Despite concern for worsening suicidality, calls regarding suicidal ingestions to the nation's largest poison control center decreased during the COVID era as compared to the pre-COVID era. This study provides evidence that the pandemic's effects on modern society remain difficult to predict. Further effort is needed to understand how pandemic will effect American's mental health. PMID: 33423363 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 10, 2021 Category: Emergency Medicine Authors: Ontiveros ST, Levine MD, Cantrell FL, Thomas C, Minns AB Tags: Acad Emerg Med Source Type: research

Validation of a Clinical Decision Instrument for Emergent Neuroimaging after a Seizure: Let's Image Malignancy, Intracranial Hemorrhage, and Trauma (LIMIT).
CONCLUSION: The validation of our CDI showed improved negative predictive value when compared to the derivation set. Using the criteria of history of ICH, active malignancy, and trauma, could have reduced the use of emergent neuroimaging in our cohort by up to 49%. This CDI should be validated in a larger subset of patients and in multiple centers prior to widespread adoption. PMID: 33393132 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 3, 2021 Category: Emergency Medicine Authors: Isenberg DL, Muller M, Rodrigues L, Reimer H, Finlaw L, Souiarov G, Loughran S, Gentile NT Tags: Acad Emerg Med Source Type: research

Effect of Pre-Hospital Workflow Optimization on Treatment Delays and Clinical Outcomes in Acute Ischemic Stroke: A Systematic Review and Meta-Analysis.
CONCLUSIONS: This systematic review and meta-analysis found that PSWO significantly improves several time metrics related to stroke treatment leading to improvement in IVT reperfusion rates. Thus, the implementation of these measures in stroke networks is a promising avenue to improve an often-neglected aspect of the stroke response. However, the limited available data suggest functional outcomes and mortality are not significantly improved by PSWO, hence further studies and improvement strategies vis a vis PSWOs are warranted. PMID: 33387368 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - January 2, 2021 Category: Emergency Medicine Authors: Chowdhury SZ, Santana Baskar P, Bhaskar S Tags: Acad Emerg Med Source Type: research

Clinical Predictors of Emergency Department Revisits within 48 Hours of Discharge; a Case Control Study.
This study aimed to identify clinical variables that could be used to predict the probability of revisiting ED within 48 hours of discharge. Methods: A retrospective case-control study was conducted between July 2018 and January 2019 at the Emergency Medicine Department in Ramathibodi Hospital, Bangkok, Thailand. Patients who revisited the ED within 48 hours of discharge (case group) and patients who did not (control group) participated. The predictive factors for ED revisit were identified through multivariate logistic regression analysis. Results: The case group consisted of 372 patients, who revisited the ED w...
Source: Accident and Emergency Nursing - December 16, 2020 Category: Emergency Medicine Authors: Tangkulpanich P, Yuksen C, Kongchok W, Jenpanitpong C Tags: Arch Acad Emerg Med Source Type: research

Antibody Rapid Test Results in Emergency Medical Services Personnel during COVID-19 Pandemic; a Cross Sectional study.
This study aimed to evaluate the value of COVID-19 antibody rapid test assessment in emergency medical services (EMS) personnel. Methods: This cross-sectional study was conducted in Tehran, Iran from 20th March until 20th May 2020. The results of chest computed tomography (CT) scan, and antibody rapid test were compared in EMS personnel with confirmed COVID-19, as well as symptomatic and asymptomatic ones who had exposure to a probable/confirmed COVID-19 teammate. In symptomatic or asymptomatic individuals who were only IgM-positive, chest CT scan or RT-PCR was recommended. Results: A total of 243 EMS personnel w...
Source: Accident and Emergency Nursing - December 16, 2020 Category: Emergency Medicine Authors: Saberian P, Mireskandari SM, Baratloo A, Hasani-Sharamin P, Babaniamansour S, Aliniagerdroudbari E, Jamshididana M Tags: Arch Acad Emerg Med Source Type: research

The Clinical Skills of Emergency Medical Service (EMS) Personnel Regarding Spinal Immobilization of Trauma Victims; a Cross Sectional Study.
Conclusion: The studied EMS personnel had moderate clinical skills regarding the spinal immobilization of trauma victims. It is recommended that the EMS training programs focus more on the practical aspects of clinical skills in addition to theoretical aspects. PMID: 33313570 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - December 16, 2020 Category: Emergency Medicine Authors: Jadgal N, Nikravan Mofrad M, Jamsahar M, Nasiri M Tags: Arch Acad Emerg Med Source Type: research